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        <ContributionsAmt>1206525</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>1072629</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>770530</OtherExpendituresAmt>
        <EndYearBalanceAmt>18521330</EndYearBalanceAmt>
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      <CYMinus4YrEndwmtFundGrp>
        <BeginningYearBalanceAmt>15733523</BeginningYearBalanceAmt>
        <ContributionsAmt>1296222</ContributionsAmt>
        <InvestmentEarningsOrLossesAmt>632961</InvestmentEarningsOrLossesAmt>
        <OtherExpendituresAmt>650000</OtherExpendituresAmt>
        <EndYearBalanceAmt>17012706</EndYearBalanceAmt>
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      <BoardDesignatedBalanceEOYPct>0.48780</BoardDesignatedBalanceEOYPct>
      <PrmnntEndowmentBalanceEOYPct>0.18690</PrmnntEndowmentBalanceEOYPct>
      <TermEndowmentBalanceEOYPct>0.32530</TermEndowmentBalanceEOYPct>
      <EndowmentsHeldUnrelatedOrgInd>0</EndowmentsHeldUnrelatedOrgInd>
      <EndowmentsHeldRelatedOrgInd>0</EndowmentsHeldRelatedOrgInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>303612</OtherCostOrOtherBasisAmt>
        <BookValueAmt>303612</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>28842488</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>12862059</DepreciationAmt>
        <BookValueAmt>15980429</BookValueAmt>
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      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>9323272</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>8129076</DepreciationAmt>
        <BookValueAmt>1194196</BookValueAmt>
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      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>2229259</OtherCostOrOtherBasisAmt>
        <BookValueAmt>2229259</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>19707496</TotalBookValueLandBuildingsAmt>
      <OtherSecuritiesGrp>
        <Desc>MONEY MARKET FUNDS</Desc>
        <BookValueAmt>12397347</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
      </OtherSecuritiesGrp>
      <OtherSecuritiesGrp>
        <Desc>REAL ESTATE</Desc>
        <BookValueAmt>335000</BookValueAmt>
        <MethodValuationCd>F</MethodValuationCd>
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      <TotalBookValueSecuritiesAmt>12732347</TotalBookValueSecuritiesAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>457(B) PLAN</Desc>
        <Amt>708242</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>708242</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <TotalRevEtcAuditedFinclStmtAmt>34794377</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>2620518</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>2620518</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>32173859</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>103650</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>103650</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>32277509</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>21254703</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>21254703</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>103650</InvestmentExpensesNotIncld2Amt>
      <ExpensesNotRptFinclStmtAmt>103650</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>21358353</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART V, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BOARD DESIGNATED FUNDS: INVESTMENTS ALLOCATED FOR FUTURE CAPITAL EXPANSION, EDUCATIONAL PROGRAMS AND RESEARCH. PERMANENTLY ENDOWED: RETURNS FROM INVESTMENTS ARE USED FOR PURPOSES SUCH AS PATIENT AID, RESEARCH, EDUCATION AND THE FELLOWSHIP PROGRAM.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER ACCOUNTS FOR UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH ASC TOPIC, INCOME TAXES. THIS STANDARD CLARIFIES THE ACCOUNTING FOR UNCERTAINTY IN TAX POSITIONS AND PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTE FOR THE FINANCIAL STATEMENTS REGARDING A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE CENTER HAS DETERMINED THAT THERE ARE NO UNCERTAIN TAX POSITIONS WHICH QUALIFY FOR EITHER RECOGNITION OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS AT DECEMBER 31, 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
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        <DirectOffsettingRevenueAmt>22500</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>581069</NetCommunityBenefitExpnsAmt>
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        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
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        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
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        <ConsultingProcessInd>X</ConsultingProcessInd>
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        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
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        <FormAndLineReferenceDesc>PART II, COMMUNITY BUILDING ACTIVITIES:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CENTER HOSTS A VARIETY OF FORUMS AND SEMINARS EACH YEAR THAT ARE AVAILABLE TO THE PSYCHIATRIC COMMUNITY. CENTER STAFF SERVE ON COMMUNITY BOARDS AND COUNCILS THAT PROVIDE SERVICE TO THE LOCAL MENTAL HEALTH ORGANIZATIONS AND SCHOOLS.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>PART I, LINE 7, COLUMN (F):THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS 12,029.</ExplanationTxt>
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      <SupplementalInformationDetail>
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        <ExplanationTxt>ACCOUNTS RECEIVABLE ARE RECORDED AT THE INVOICED AMOUNTS AND DO NOT BEAR INTEREST. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS MANAGEMENT'S BEST ESTIMATE OF THE AMOUNT OF PROBABLE CREDIT LOSSES IN ACCOUNTS RECEIVABLE. THE ALLOWANCE IS BASED UPON SPECIFIC IDENTIFICATION OF PROBABLE LOSSES AND AN ESTIMATE OF ADDITIONAL LOSSES BASED ON HISTORICAL EXPERIENCE. ACCOUNT BALANCES ARE CHARGED OFF AGAINST THE ALLOWANCE WHEN IT IS PROBABLE THE RECEIVABLE WILL NOT BE RECOVERED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>PATIENTS ARE INFORMED DURING THE PRE-ADMISSION SCREENING AND DURING THE ADMISSION PROCESS THAT AN APPLICATION FOR A FEE REDUCTION MAY BE SUBMITTED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>RIGGS SERVES LOCAL, REGIONAL, AND NATIONAL COMMUNITIES. THESE COMMUNITIES ARE COMPRISED LARGELY OF PATIENTS WITH COMPLEX PSYCHIATRIC DISORDERS (E.G., MULTIPLE CO-MORBID CONDITIONS, SEVERE AND PERSISTENT PSYCHIATRIC SYMPTOMS, AND FUNCTIONAL IMPAIRMENT) AND THE PROFESSIONALS (AND ORGANIZATIONS) WHO SERVE THEM. SERVICE TO THESE COMMUNITIES INCLUDES TREATMENT, EDUCATION AND TRAINING, RESEARCH, AND APPLICATION. MORE SPECIFICALLY: WHILE FEW OF THE CENTER'S PATIENTS COME FROM THE LOCAL COMMUNITY, THE CENTER OFFERS EDUCATION, OUTREACH, AND CONSULTATION TO LOCAL CLINICIANS AND ORGANIZATIONS. AT THE REGIONAL LEVEL, 51% OF THE CENTER'S PATIENT POPULATION IS DRAWN FROM THE NORTHEAST (NEW ENGLAND STATES PLUS NY, PA, AND NJ), AND A ROBUST PROGRAM OF EDUCATION, CONSULTATION, AND OUTREACH IS PROVIDED TO CLINICIANS WHO TREAT PATIENTS WITH COMPLEX PSYCHIATRIC DISORDERS IN THE REGION. THE NATIONAL POPULATION OF PATIENTS WITH COMPLEX PSYCHIATRIC DISORDERS, AND THE CLINICIANS WHO TREAT THEM, IS THE BROADEST AND MOST SIGNIFICANT COMMUNITY. THIS ENCOMPASSES THE CENTER'S FULL PATIENT POPULATION AS WELL AS THE POPULATION OF TREATERS SERVED THROUGH EDUCATION, TRAINING, AND RESEARCH EFFORTS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
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        <PersonNm>DAVID MINTZ</PersonNm>
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        <PersonNm>JANE TILLMAN PHD</PersonNm>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE DISCRETIONARY SPENDING ACCOUNT IS USED FOR BUSINESS PURCHASES THAT ARE SPECIFIC TO THE MEDICAL DIRECTOR THAT DO NOT FALL UNDER OTHER DEPARTMENTAL EXPENSES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>HIGHLY COMPENSATED STAFF CAN MAKE A SALARY CONTRIBUTION TO A 457(B) PLAN AT TIAA CREF</ExplanationTxt>
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    </IRS990ScheduleJ>
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          <BusinessNameLine1Txt>MASSACHUSETTS HEALTH AND EDUCATIONAL FACILITIES AUTHORITY</BusinessNameLine1Txt>
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      <TaxExemptBondsIssuesGrp>
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          <BusinessNameLine1Txt>MASSACHUSETTS DEVELOPMENT FINANCE AGENCY</BusinessNameLine1Txt>
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      <TaxExemptBondsProceedsGrp>
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        <IssuanceCostsFromProceedsAmt>104231</IssuanceCostsFromProceedsAmt>
        <CapitalExpendituresAmt>3395769</CapitalExpendituresAmt>
        <SubstantialCompletionYr>2018</SubstantialCompletionYr>
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        <GrossProceedsInvestedInGICInd>0</GrossProceedsInvestedInGICInd>
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        <BondReferenceCd>B</BondReferenceCd>
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    </IRS990ScheduleK>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE 990 IS REVIEWED BY THE DIRECTOR OF FINANCE THEN BY THE CFO AND CEO. IT IS ALSO SENT TO THE FINANCE COMMITTEE OF THE BOARD OF TRUSTEES FOR REVIEW AND COMMENT BEFORE FINALIZING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY COMPLETING ANNUAL DOCUMENTED DISCLOSURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS FOR DETERMINING COMPENSATION OF THE ORGANIZATION'S MEDICAL DIRECTOR/CHIEF EXECUTIVE OFFICER AND KEY EMPLOYEES IS DONE BY THE BOARD OF TRUSTEES ON A COMPARATIVE SALARY REVIEW BASIS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>